| NPI | 1760457683 |
|---|---|
| Doing Business As | PARKWOOD MANOR |
| Entity Type | Organization |
| Authorized Contact | GALE A LACY Office Manager 573-335-3044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness (Licence: MO 371-7545) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2020-08-22 |